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PECG Membership

What Does PECG Do For You?  New Employee Brochure  Membership Application (PDF)

To become a PECG member, download the application above or just fill out the application below using your keyboard, then print & sign it, and fax or mail to PECG at 455 Capitol Mall, Suite 501, Sacramento, CA  95814.  Our FAX number is (916) 446-0489.

 


PECG MEMBERSHIP APPLICATION

Professional Engineers in California Government
(PLEASE PRINT OR TYPE)

  Mr/Ms/Mrs   Name  (First, Middle Last)  
Home Address 
City   State Zip
SSN Department

E-Mail Address

City of Employment
Office Telephone

Employment Designation:

   Rank and File   Supervisory/Managerial

Recruited by:

I hereby apply for membership in Professional Engineers in California Government (PECG) and designate PECG as my exclusive representative in all matters relating to wages, hours and other terms and conditions of employment for all other purposes provided by law.

I authorize the State Controller to deduct from my salary and transmit as designated an amount for membership dues and any benefit program for which I have applied which is sponsored by PECG. This authorization will remain in effect until cancelled by me or by PECG. I understand that termination of membership will cancel all deductions made under that authorization.

Signature ______________________________________ Date ___________________________

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